Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.39 / $1,544.00 / $7,175.00	Facility		$304.39	$1,544.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $132.01 / $289.23	Professional		$63.99	$132.01	$289.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $207.82 / $207.82	Professional		$141.19	$207.82	$207.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $142.77 / $253.02	Professional		$81.01	$142.77	$253.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.12 / $248.29 / $255.53	Professional		$193.12	$248.29	$255.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.31 / $1,740.46 / $2,306.48	Facility		$391.31	$1,740.46	$2,306.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $159.56 / $165.62	Professional		$149.68	$159.56	$165.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,799.00	Facility		$428.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $151.68 / $572.50	Professional		$76.26	$151.68	$572.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $256.00	Professional		$71.00	$71.00	$256.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $156.34 / $156.34	Facility		$156.34	$156.34	$156.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $147.44 / $259.33	Professional		$87.43	$147.44	$259.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $89.31 / $159.18	Facility		$76.20	$89.31	$159.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $113.54 / $171.59	Professional		$87.48	$113.54	$171.59
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $167.74 / $292.63	Professional		$115.26	$167.74	$292.63